Why the study?
Does helicopter transportation reduce 30-day mortality compared to ground transportation in patients with suspected STEMI bound for primary PCI?
Population
1,604 patients with suspected STEMI bound for primary percutaneous coronary intervention in eastern Denmark.
Comparison
Helicopter emergency medical service… vs Ground emergency medical services transportation
Design
Cohort
Follow-up
30 days
Key result
Helicopter transport for suspected STEMI did not significantly reduce 30-day mortality compared to ground transport (5.0% vs 6.2%; adjusted OR 0.82; 95% CI 0.44-1.51; P=0.52).
Authors
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Helicopter transport shows no mortality benefit in suspected STEMI; leaves open potential gains in selected patients for prospective trials.
Observational (n=1,604)
No
Does helicopter transportation reduce 30-day mortality compared to ground transportation in patients with suspected STEMI bound for primary PCI?
Effect estimate: adjusted OR 0.82 (95% CI 0.44-1.51)
Absolute Event Rate: 5% vs 6.2%
p-value: p=0.52
Helicopter transportation for suspected STEMI reduced transport time but did not significantly improve 30-day mortality or long-term work ability compared to ground transportation.
Funder et al. (2018) conducted an observational in Suspected ST elevation myocardial infarction (STEMI) (n=1,604). Helicopter emergency medical service (HEMS) vs. Ground emergency medical services (GEMS) was evaluated on 30-day mortality (adjusted OR 0.82, 95% CI 0.44-1.51, p=0.52). Helicopter transport for suspected STEMI did not significantly reduce 30-day mortality compared to ground transport (5.0% vs 6.2%; adjusted OR 0.82; 95% CI 0.44-1.51; P=0.52).
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